WHO Digital Documentation of COVID-19 Certificates (DDCC)
1.0.0 - CI Build International flag

WHO Digital Documentation of COVID-19 Certificates (DDCC), published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/ddcc/tree/main and changes regularly. See the Directory of published versions

Resource Profile: DDCC DocumentReference return for QR

Official URL: http://smart.who.int/ddcc/StructureDefinition/DDCCDocumentReferenceQR Version: 1.0.0
Draft as of 2026-01-19 Computable Name: DDCCDocumentReferenceQR

DDCC DocumentReference for QR codes including the QR image and the serialized content.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... subject Σ 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
... Slices for content SΣ 2..* BackboneElement Document referenced
Slice: Unordered, Closed by value:format
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage SΣ 1..* BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrContent SΣ 1..1 BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrPDF SΣ 0..1 BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrImage.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrContent.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrPDF.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReference
... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DDCC QR Type Codes (extensible)
... subject 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
.... content:All Slices Content/Rules for all slices
..... format 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage S 1..* BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
.... content:qrContent S 1..1 BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
.... content:qrPDF S 0..1 BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DDCC QR Type Codes (extensible)
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject Σ 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 2..* BackboneElement Document referenced
Slice: Unordered, Closed by value:format
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage SΣ 1..* BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrContent SΣ 1..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrPDF SΣ 0..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrImage.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrContent.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrPDF.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.0
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentReference

Summary

Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.content (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... subject Σ 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
... Slices for content SΣ 2..* BackboneElement Document referenced
Slice: Unordered, Closed by value:format
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage SΣ 1..* BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrContent SΣ 1..1 BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrPDF SΣ 0..1 BackboneElement Document referenced
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... data S 1..1 base64Binary Data inline, base64ed
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrImage.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrContent.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrPDF.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReference
... type S 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DDCC QR Type Codes (extensible)
... subject 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
.... content:All Slices Content/Rules for all slices
..... format 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage S 1..* BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
.... content:qrContent S 1..1 BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
.... content:qrPDF S 0..1 BackboneElement Document referenced
..... attachment
...... contentType S 1..1 code Mime type of the content, with charset etc.
...... data S 1..1 base64Binary Data inline, base64ed
..... format 1..1 Coding Format/content rules for the document
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Master Version Specific Identifier
... identifier Σ 0..* Identifier Other identifiers for the document
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣ 1..1 CodeableConcept Kind of document (LOINC if possible)
Binding: DDCC QR Type Codes (extensible)
... category Σ 0..* CodeableConcept Categorization of document
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject Σ 0..1 Reference(DDCC Patient) Who/what is the subject of the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
... authenticator S 1..1 Reference(DDCC Organization) Who/what authenticated the document
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 0..1 string Human-readable description
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 2..* BackboneElement Document referenced
Slice: Unordered, Closed by value:format
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
..... format Σ 0..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
.... content:qrImage SΣ 1..* BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: image
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrContent SΣ 1..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: serialized
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... content:qrPDF SΣ 0..1 BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment Σ 1..1 Attachment Where to access the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 1..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Data inline, base64ed
...... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation Σ 0..1 dateTime Date attachment was first created
..... format Σ 1..1 Coding Format/content rules for the document
Binding: DDCC QR Format Codes (extensible)
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://smart.who.int/ddcc/CodeSystem/DDCCQRFormatCodeSystem
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: pdf
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... context Σ 0..1 BackboneElement Clinical context of document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter 0..* Reference(Encounter | EpisodeOfCare) Context of the document content
.... event 0..* CodeableConcept Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period Σ 0..1 Period Time of service that is being documented
.... facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
.... practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base extensible DDCC QR Type Codes 📦1.0.0 This IG
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrImage.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrImage.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrContent.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrContent.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.content:qrPDF.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:qrPDF.​format Base extensible DDCC QR Format Codes 📦1.0.0 This IG
DocumentReference.context.​event Base example v3 Code System ActCode 📦3.0.0 THO v7.0
DocumentReference.context.​facilityType Base example Facility Type Code Value Set 📍4.0.1 FHIR Std.
DocumentReference.context.​practiceSetting Base example Practice Setting Code Value Set 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DocumentReference

Summary

Mandatory: 10 elements(3 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.content (Closed)

 

Other representations of profile: CSV, Excel, Schematron